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Job Details

Manager Contracting

Company name
1199SEIU Family of Funds

Location
New York City, NY, United States

Employment Type
Full-Time

Industry
Project Management, Healthcare, Administrative, Contract Management

Posted on
Nov 01,2019

Valid Through
Feb 14,2020

Apply for this job






Profile

Responsibilities

Supervise and manage the daily operations of the Contracting Account Representatives

Coach and manage staff in accordance with established departmental procedures and Human Resources guidelines; ensure that personnel issues are handled timely

Ensure timely response to Hospital provider inquiries related to contract terms and payment methodologies via email, telephone, written correspondence and on-site meetings; reinforce contract terms with hospitals and internal fund departments and escalate time sensitive issues

Ensure timely communication on network updates and changes to internal Fund departments

Facilitate review of escalated hospital claims, evaluate hospital contract terms and work with internal departments to obtain issue resolution within the prescribed timeframe

Act as a primary liaison between Fund’s outside fiduciary and internal departments and ensure all contract language issues, problematic administrative terms and recommendations are tracked and issued annually prior to the contract re-negotiation period

Coordinate and facilitate Hospital Contract Interpretation Committee Meetings to review and discuss newly executed employer hospital rates and payment methodologies for inpatient and outpatient hospital services negotiated by the Funds’ outside fiduciary

Manage and maintain detailed projects plans for special projects including but not limited to Request for Information/Proposal, benefit changes, and other programs and initiatives as required

Perform additional duties and projects as assigned by management

Qualifications

Bachelor’s degree in Business or Health Care Administration required; Master’s degree preferred

Minimum five (5) years of experience working in a healthcare management setting required; to include two (2) years supervisory experience required

Proficient in Microsoft Word and Excel

Experience with project management tools and software

Excellent interpersonal, verbal and written communication skills

Strong negotiation and influential skills and solid problem-solving skills

Ability to build strong relationships with both internal Fund departments and hospitals

Knowledge of hospital claims reimbursement methodology, healthcare management systems, contracting the New York hospitals, healthcare terminology, and negotiating contract terms and rates

Ability to work in a fast-paced environment and foster positive working relationships, multi-task and meet deadlines

Ability to travel throughout the New York metropolitan area required

Company info

1199SEIU Family of Funds
Website : http://www.1199nbf.org/

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